<admintpl file="header" />
</head>
<style>
input .danxuan{ width:14px; height:14px;float:left;}
span .text{ margin-right: 40px;}
.radio {margin-top: 5px;margin-left: 5px;margin-right: 20px; float: left;}
</style>
<body>
    <div class="wrap js-check-wrap">
        <ul class="nav nav-tabs">
            <li><a href="{:U('Provider/index')}">外调列表</a></li>
            <li class="active"><a href="{:U('Provider/add')}">创建外调</a></li>
        </ul>
        <form action="{:U('Provider/add_post')}" method="post" class="form-horizontal js-ajax-forms" enctype="multipart/form-data">
            <div class="row-fluid">
                <div class="span12">
                    <table class="table table-bordered">
                        <tr>
                            <th>调用商名称</th>
                            <td>
                                <input type="text" name="name" required autocomplete="off" maxlength="16"/>仅限英文字母和数字
                            </td>
                        </tr>
                        <tr>
                            <th>回调地址</th>
                            <td>
                                <input type="text" name="callback" required autocomplete="off" maxlength="128"/>用户扫码后回传给调用商的地址
                            </td>
                        </tr>
                        <tr>
                            <th>转发地址</th>
                            <td>
                                <input type="text" name="forwarding" autocomplete="off" maxlength="128"/>用户扫码后吧扫码信息抄送给启动方
                            </td>
                        </tr>
                    </table>
                </div>
            </div>
            <div class="form-actions">
                <button class="btn btn-primary js-ajax-submit" type="submit">创建</button>
                <a class="btn" onclick="javascript:history.go(-1);">返回</a>
            </div>
        </form>
    </div>
    <script type="text/javascript" src="__PUBLIC__/js/common.js"></script>
</body>
</html>